360 Medical Group Professional Corp
Family Medicine in Wheeling, IL. Organization (NPI-2).
NPI number1336073840
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1336073840
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Medical Group Professional Corp
- Organization subpart
- No
- Enumeration date
- Jun 10, 2026
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
31 W Dundee RdWheeling, IL 60090-4863
Phone 833-360-6388
Mailing address
980 N Michigan Ave Ste 1090Chicago, IL 60611-4521
Authorized official
James Villar
Administrator
7736451192
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